Cortical atrophy prevention is a clinical goal focused on implementing interventions to minimize the age-related or pathological shrinkage and loss of neuronal tissue within the cerebral cortex. Maintaining cortical volume and density is critical for preserving higher-order cognitive functions, including language, memory, and executive control. Effective hormonal and lifestyle management is increasingly recognized as a vital strategy in mitigating this structural decline.
Origin
This term is rooted in neuroimaging and neuropathology, where “cortical atrophy” describes the observable decrease in the thickness and volume of the brain’s outer layer. The concept of “prevention” highlights a shift from passive observation of aging to proactive clinical intervention. This approach is central to the longevity and brain health domain, seeking to decouple chronological age from neuroanatomical deterioration.
Mechanism
The mechanism of prevention involves supporting neurotrophic signaling and reducing chronic neuroinflammation, which are primary drivers of neuronal loss. Hormones such as estrogen and testosterone exert direct neuroprotective effects by enhancing cerebral blood flow and promoting the expression of brain-derived neurotrophic factor (BDNF). Sustained hormonal and metabolic balance helps to stabilize neuronal membranes and preserve synaptic connections, thereby slowing the rate of tissue volume loss.
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